Spertini F, Wauters J P, Poulenas I
Clin Nephrol. 1984 Feb;21(2):98-101.
Among 100 patients treated by chronic hemodialysis, 12 developed a carpal tunnel syndrome (CTS). After surgery, improvement was dramatic with regression of pain and paresthesiae within a few hours. Recovery of motor and sensory deficits was longer (2-3 weeks). No relationship could be established between CTS and the type of nephropathy, severity of polyneuritis, Ca and PO4 metabolism, the presence of vascular access and efficacy of dialysis. The bilaterality of the lesions in 7 patients suggests general pathogenic mechanisms superimposed to the presence of the vascular access. While only 3 out of 65 patients treated for less than 4 years complained about CTS, 9 out of 35 treated for more than 4 years were symptomatic.
在100例接受慢性血液透析治疗的患者中，有12例出现了腕管综合征（CTS）。手术后，疼痛和感觉异常在数小时内消退，改善非常显著。运动和感觉功能障碍的恢复时间较长（2 - 3周）。CTS与肾病类型、多神经炎严重程度、钙和磷代谢、血管通路的存在以及透析效果之间未发现关联。7例患者病变双侧出现提示在血管通路存在的基础上有一般致病机制。在65例治疗时间少于4年的患者中，只有3例抱怨有CTS，而在35例治疗时间超过4年的患者中，有9例出现症状。
